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Program evaluation: improving the quality of life of older people in an urban slum in Bangladesh
AIMS: The study aimed to explore the quality and impact of care provided through an innovative palliative care project to improve the quality of life of older people in an urban informal settlement in Bangladesh. METHODS: Center for Palliative Care (CPC) at Bangabandhu Sheikh Mujib Medical Universit...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8689427/ https://www.ncbi.nlm.nih.gov/pubmed/34950874 http://dx.doi.org/10.1177/26323524211063217 |
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author | Chowdhury, Mostofa Kamal Ahmad, Nezamuddin Biswas, Fazle Noor Farheen, Nadia Ferdous, Lailatul Akter, Kazi Maksoda Connor, Stephen R. |
author_facet | Chowdhury, Mostofa Kamal Ahmad, Nezamuddin Biswas, Fazle Noor Farheen, Nadia Ferdous, Lailatul Akter, Kazi Maksoda Connor, Stephen R. |
author_sort | Chowdhury, Mostofa Kamal |
collection | PubMed |
description | AIMS: The study aimed to explore the quality and impact of care provided through an innovative palliative care project to improve the quality of life of older people in an urban informal settlement in Bangladesh. METHODS: Center for Palliative Care (CPC) at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, in collaboration with the Worldwide Hospice Palliative Care Alliance (WHPCA) has been operating this community project since 2015. A cross-sectional observational design was used in this program evaluation study. A total of 594 people received services including 227 patients (Group-1) receiving regular and intensive palliative care and 367 patients with less intense needs (Group-2) receiving relatively less support based on need. In addition, current group-1 patients (total 114) and a matched cohort of 58 group-2 patients were interviewed with an experience of care survey questionnaire. Baseline and demographic data were presented in tables. The Z-test was used to measure mean statistical differences between two groups. RESULTS: Multiple comorbidities were common. Pain was the most frequently noted physical symptom along with anxiety, sadness, and depression as common psychological concerns. Compassionate palliative care for the older people had significant (p < 0.05) impact on psycho-social and spiritual care, caregiver training, responding to emergencies, and reduction of out of pocket healthcare expenditure among the intensive intervention group. CONCLUSION: Using a community-based approach following this model may play a significant part in expansion of palliative care throughout Bangladesh to meet the huge need and scarcity of such services. |
format | Online Article Text |
id | pubmed-8689427 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-86894272021-12-22 Program evaluation: improving the quality of life of older people in an urban slum in Bangladesh Chowdhury, Mostofa Kamal Ahmad, Nezamuddin Biswas, Fazle Noor Farheen, Nadia Ferdous, Lailatul Akter, Kazi Maksoda Connor, Stephen R. Palliat Care Soc Pract Original Research AIMS: The study aimed to explore the quality and impact of care provided through an innovative palliative care project to improve the quality of life of older people in an urban informal settlement in Bangladesh. METHODS: Center for Palliative Care (CPC) at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, in collaboration with the Worldwide Hospice Palliative Care Alliance (WHPCA) has been operating this community project since 2015. A cross-sectional observational design was used in this program evaluation study. A total of 594 people received services including 227 patients (Group-1) receiving regular and intensive palliative care and 367 patients with less intense needs (Group-2) receiving relatively less support based on need. In addition, current group-1 patients (total 114) and a matched cohort of 58 group-2 patients were interviewed with an experience of care survey questionnaire. Baseline and demographic data were presented in tables. The Z-test was used to measure mean statistical differences between two groups. RESULTS: Multiple comorbidities were common. Pain was the most frequently noted physical symptom along with anxiety, sadness, and depression as common psychological concerns. Compassionate palliative care for the older people had significant (p < 0.05) impact on psycho-social and spiritual care, caregiver training, responding to emergencies, and reduction of out of pocket healthcare expenditure among the intensive intervention group. CONCLUSION: Using a community-based approach following this model may play a significant part in expansion of palliative care throughout Bangladesh to meet the huge need and scarcity of such services. SAGE Publications 2021-12-16 /pmc/articles/PMC8689427/ /pubmed/34950874 http://dx.doi.org/10.1177/26323524211063217 Text en © The Author(s), 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research Chowdhury, Mostofa Kamal Ahmad, Nezamuddin Biswas, Fazle Noor Farheen, Nadia Ferdous, Lailatul Akter, Kazi Maksoda Connor, Stephen R. Program evaluation: improving the quality of life of older people in an urban slum in Bangladesh |
title | Program evaluation: improving the quality of life of older people in
an urban slum in Bangladesh |
title_full | Program evaluation: improving the quality of life of older people in
an urban slum in Bangladesh |
title_fullStr | Program evaluation: improving the quality of life of older people in
an urban slum in Bangladesh |
title_full_unstemmed | Program evaluation: improving the quality of life of older people in
an urban slum in Bangladesh |
title_short | Program evaluation: improving the quality of life of older people in
an urban slum in Bangladesh |
title_sort | program evaluation: improving the quality of life of older people in
an urban slum in bangladesh |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8689427/ https://www.ncbi.nlm.nih.gov/pubmed/34950874 http://dx.doi.org/10.1177/26323524211063217 |
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